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General NPI Number Information
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NPI Number | 1801477401
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Entity Type | Organization
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Legal Business Name | SOMNICARE ANESTHESIA INC
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Dates
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Enumeration Date | 04/16/2021
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Last Update Date | 04/16/2021
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Provider Practice Location Address
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Address Line | 201 W GUAVA ST STE 202
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City | LADY LAKE
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State | FL
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Zip | 32159-1702
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Country | US
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Telephone | 352-391-1750
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Fax | 352-391-1752
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Provider Business Mailing Address
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Address Line | 201 W GUAVA ST STE 202
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City | LADY LAKE
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State | FL
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Zip | 32159-1702
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Country | US
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Telephone | 352-391-1750
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Fax | 352-391-1752
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Authorized Official
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Title or Position | OWNER / PHYSICIAN
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Name | DARYOUSH SABET-PAYMAN
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Credential | MD
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Telephone | 352-391-1750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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